Individual provider Active NPI

Qualivia Hawkins Cummings

  • Adult Health Nurse Practitioner
  • Macon, GA
National Provider Identifier
1730682048
Registry record updated Apr 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN213019 Issued in GA
Practice address
101 Preston CT Ste 103
Macon, GA 31210-5771
Phone
(478) 745-2385
Fax
(478) 745-1225
NPI assigned
Mar 13, 2018
Last updated
Apr 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11041134 FL
Adult Health Nurse Practitioner 363LA2200X RN213019 GA Primary
Adult Health Nurse Practitioner 363LA2200X F312754 NY
Adult Health Nurse Practitioner 363LA2200X NP95035536 CA
Adult Health Nurse Practitioner 363LA2200X 83465 NM
Adult Health Nurse Practitioner 363LA2200X 209034379 IL

Addresses

Primary practice location

101 Preston CT Ste 103
Macon, GA 31210-5771

Mailing address

325 Stockton Cir
Macon, GA 31216-6889
Phone (478) 365-1572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, NY, IL, TX, NM, CA7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20190305002892 GA Practitioner - Nurse Practitioner 2365781523 Reassigns benefits to 2 organizations
I20260603004000 FL Practitioner - Nurse Practitioner 2365781523 Reassigns benefits to 3 organizations
I20260609002444 NY Practitioner - Nurse Practitioner 2365781523 Reassigns benefits to 2 organizations
I20260609002630 IL Practitioner - Nurse Practitioner 2365781523 Reassigns benefits to 3 organizations
I20260612002034 TX Practitioner - Nurse Practitioner 2365781523 Reassigns benefits to 2 organizations
I20260612002259 NM Practitioner - Nurse Practitioner 2365781523 Reassigns benefits to 3 organizations
I20260617002663 CA Practitioner - Nurse Practitioner 2365781523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians

Practice addresses (Care Compare)

103 Hospital Loop NE
Albuquerque, NM 87109-2115
Phone (212) 734-6621

1507 S Tuttle Ave
Sarasota, FL 34239-2608
Phone (212) 734-6621

350 W Schaumburg Rd
Suite 2
Schaumburg, IL 60194-3400
Phone (212) 734-6621

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95035536CAMDAdult Health Nurse Practitioner
APRN11041134FLMDAdult Health Nurse Practitioner
RN213019GAMDAdult Health Nurse Practitioner
209034379ILMDAdult Health Nurse Practitioner
83465NMMDAdult Health Nurse Practitioner
F312754NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Hemlock Pain Center, LLC Multi-Specialty CurrentSince Nov 27, 2023 Accepting new patients
Infinite Medical PC Multi-Specialty CurrentSince Dec 30, 2025 Accepting new patients
The Hemlock Pain Center, LLC Multi-Specialty Current Accepting new patients
The Hemlock Pain Center, LLC Multi-Specialty Past Accepting new patients

Locations

22 Maple Ridge Dr
Cartersville, GA 30121
Phone (770) 606-8800

202 Fairview Park Dr
Dublin, GA 31021
Phone (478) 219-3745

202 Fairview Park Dr
Ste 100
Dublin, GA 31021
Phone (478) 800-3745

101 Preston Ct
Ste 103
Macon, GA 31210
Phone (478) 745-2385

750 N Cobb St
Ste 150
Milledgeville, GA 31061
Phone (478) 284-0670

200 S Houston Lake Rd
Warner Robins, GA 31088
Phone (478) 953-1800

200 S Houston Lake Rd
Ste A
Warner Robins, GA 31088
Phone (478) 971-1080

250 Skillman St
Ste 202
Brooklyn, NY 11205

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFHCAA

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775952000000",
    "number": "1730682048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 STOCKTON CIR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312166889",
            "telephone_number": "478-365-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PRESTON CT STE 103",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105771",
            "telephone_number": "478-745-2385",
            "fax_number": "478-745-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "QUALIVIA",
        "middle_name": "HAWKINS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2026-04-12",
        "certification_date": "2026-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11041134",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN213019",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F312754",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "NP95035536",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NM",
            "license": "83465",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209034379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.